2092 Royale Ct4,1i
City of Ea�afl
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Tenant:
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: __ to0
Date Received: 6 -/47--Aa
Staff:
Art
'x,2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
V Site Address: 2Dq_a ode, c
1
Suite #:
RESIDENT / OWNER
Name: _1_aucr%-5h_over
Address / City / Zip:
Phone: Los"- 454' 5-z0,57,,
Name: Appliance Connections Inc
111T Daiita er_
-S#alkopeerM 55379_
State: Zip: 952-445-48e:
Contact: _ 1\e,i 1mail: _____
Address:
License #U57 O f 9
City:
New kReplacement ___ Repair —_ Rebuild
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation (__ RPZ / _ PVB)
Septic System
New
___ Abandonment
_— Modify Space ___ Work in R.O.W.
Water Softener
____ Add Plumbing Fixtures (___ Main / __ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) D�
TOTAL FEES $_
COO
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www ..o.herstateonecall.or.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
acc.rdance with the approved plan in the cape of work which requires a review and app oval of plans.
cant's Printed N
me
licant's Signatur
FOR OFFICE USE
Required Inspections: ___Under Ground
__Rough -In Air Test
Date:
Gas Test Final
SEWER &--WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE JAN 24, 1992
ISSUE DATE q l 41'! a B.P. RECE
_ PRV L BOOSTER PUMP
12510
C 017010
DATE 01/27/92
SITE ADDRESS 2092 ROYALE CT
LOT 22 BLOCK 2 SEC/SUB EAGAN ROYALE
APPLICANT:
ADDRESS:-
CITY, STATE
PHONE:
ZIP
PLUMBER: MATTHEW DANIELS INC
ADDRESS: 15185 CAROUSEL WAY
CITY, STATE ROSEMOUNT MN ZIP 55068
PHONE: 423-3730
OWNER: PIETSCH BUILDERS INC
ADDRESS: 9543 BIRCH LN
CITY, STATE T.AKEVT I.T.R TAN ZIP 55044
PHONE: 461-3381 _
OFFICE' USE ONLY
METER # 4/3`7 7/ 7 -7 PERMIT DATE 01/29/92
CHIP # a? PERMIT #
METER SIZE B.P. RECEIPT #
PERMIT REQUESTED
X SEWER X WATER TAPS
COMM/IND X RESIDENTIA
X NEW ^ EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
C edit WV L NOT be giv n for Deduct Meters.
I AG EE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER P RMITS, CONTACT ENGINEERING DE T. ,
(Irr#xftrair of (Orrupaury
Citp of (eagan
?r ntrttt of 7?uahto trttmt
T iris Certljkm issued pursuam to the requi emenis of Seccaon 306 of the UWfiorm &dlding
Code cerdfying drat at the time of issuance this structure was in c+ompUance with the mrious
ordinances of the City regula ft building consb uetion or use. For the foQowfng.
use amgwcw . SF
R!
rim 20051
Omar Type
oeaa 4/29/42
POST IN A CONSPICUOUS PUKE
:nr: .-c'r-r'` ` .. F. -i?.?.. a:*::. ...?. . -,??,,,e?rr?-'r2' ^:? ' ce'7+?"-g4Fa'IS^ .. .*?+'r- . , ,
CITY OF EAGAN ,..
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 i 2 CCO 5 1
PHONE: 681-4675
BUILDING PERMIT Receipt
To be used for ST DW/GAR Est. Value $165.000 Date JAN 24 _,1992
Site Address 2092 ROYALE CT
Lot 22 Block 2 Sec/Sub. EAGAN ROYALE
Parcel No.
Name r 1 zT5t:n It U L flub c rx:
w Address 9543 BIRCH LN
o Cay LAKEVIW.E tai Zip
tr
8
Name _
Address
C4
Zip
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
r ?
Signature of Permitee
A Building Permit is issued to: PIETSCH BUILDERS INC
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
R-3 H-1 FEES
Occupancy
E-1
Bldg. Permit 867.00
Zoning V-N 82
50
(Actual) Const surcharge .
(Allowable) V N
Plan Review 5" ? OQ
+e of Stories W
7V License 5.
Length
Depth SAC, City 100000
S.F. Total SAC, MCWCC 700'00
S.F. Foolprinis 67 500
On Site Sewage Water Conn
On Site Well
X Water Meter 95'00
MWCC System 30 ? oo
City Water X Acct. Deposit
SNV Permit 30.00
PRV Required
Booster Pump X SIW Surcharge .50
300'00
Treatment PI
APPROVALS Road Unit 380'00
Planner Park Ded.
Council -
Bldg ON Copies
3.829.00
Variance TOTAL
Permit No. Permit Holder Date Telephone #
SM • / / 9
PLUMBING
WAC
EL.ECTRI
ELECTRIC
Inspection Date Insp. Comments
Footings 1 _ P2 O
7 ?o-r z
Foundation 2 S.
Framing
Ifa-
Roofing 7 Z,L
Rough Pibg.
Rough Htg. 9,7 '? - Z GG Vjya LG I c-
Isul. 3 -l8 9 i.
Fireplace -
Final Htg• '"A A-Y
Grsat Test y. J
Final Ptbg. Plbg. Inspector - Notify Plumber
Cunst. Meter
EngrlPlan
Bldg. Final - Z P ,9L D
Deck Ftg.
Dec* Final
Well
Pr. Disp.
1 -/? Z
,7 a
CASH RECEIPT
CITY OF EAGAN w
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 1 ^ 19
AMOUNT S
I (Y r..? 1 l.r'` 'ar I.IC?f 1f r.L ?I!^ C'r? DOLLARS
,ao
O CASH CHECK
I nanK T ou
BY
ILI
017010 WhOo-Payers Copy
Yellow--Posing CDpy
Pink-File Copy
SEVER & ATER PERMIT
CITY OF E MAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
METER #
CHIP #
DATE JAN 24, 1992
METER SIZE
ISSUE DATE
SITE ADDRESS 2092 ROYALE CT
LOT 22BLOCK 2 SEC/SUB EAGAN ROYALE
APPLICANT:
ADDRESS:-
CITY, STATE
PHONE: _
PLUMBER: MATTHEW DANIELS INC
ADDRESS: 15185 CAROUSEL WAY
CITY, STATE ROSEMOUNT MN ZIP 55068
PHONE: 423-3730
OWNER: PIETSCH BUILDERS INC
ADDRESS: 9543 BIRCH LN
CITY, STATE LAKEVIIJ E HH ZIP _ 55Q44
PHONE: 461-3381
PE ONLY
PERMIT DATE 01 /29/92
PERMIT # 12510
B.P. RECEIPT # C 017010
B.P. RECEIPT DATE 01/27/92
- PRV x BOOSTER PUMP
PERMIT REQUESTED
)X SEWER X WATER TAPS
COMM/IND X RESIDENTIAL
IL NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
- - ? DATE: JAN 29, 1992
RE: 2092 ROYALE CT (PIETSCH BUILDERS INC)
-X Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO.SLU
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (952) 881-9000 TEST RECORD
ADDRESS r O ,t) .r C
OCCUPANT ??,G4Ar? S?tS `
SOLD BY
MAKE
CITY
F?? X"f ?
OWNER (:;?l ? ,J
INSTALLED BY a-? {
MODEL 66 Uk/ y- (% Q C' / / a
SERIAL NO. 2 2 INPUT
THERMOSTAT Gr P L 0 O>
VALVE?/1
LIMIT j?c{ t
LIMIT SETTING
FAN SETTING
PILOT TYPE
IGNITION MC
PILOT TIMING T y
PRESSURE
INPUT CFH_
STACK TEMP.
FORM 2M (REV. 11reB)
PERCENT 02
PERCENT CO
6cs6
VENT SIZE
TYPE OF UNER "(•l 4'?
LINER SIZE G
FILTERS: SIZE /6 t- Z s- NUMBER
WIRING
TESTTAG -??
LIGHTING INST.
DATE TESTED
(
COMPANY TESTING 0145-"t "?'G' S W ?
NAME OF TESTER
FORM DISTRIBUTION: WHITE COPY-JOB PLE YELLOW COPY - CITY
REQUEST FOR ELECTRICAL INSPECTION
bi See instructions for completing this form on back of yellow copy.
"X" Below Work Covered by This Request
m
E13-00001-0a
lea.
New Add Rep. Type of Building Appliaqces Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contractors Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps - 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspectors Use Only: TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH
1, the Electrical inspector, hereby Rough-in i Date 4;P_ y p,
/-
certify that the above inspection has
been made. Finai 1 Date
OFFlCE USE ONLY
This request void 18 months from
ya iv 5/ S
J 34254 .2a as 0' o
"OD
Request Date
? Fire o. Rough-in In s;lViclii Required? ? Reedy Now $t Re Inspector
Wh
R
d
?
"--/
C>( - No en en
ea
y
I,2?ensed contractor 0 owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No.) Ciry
n
V
Section No. Township Name or No. Range No. Cqun
Occupant if INT
15. Phone No.
Power 5 ierV Address
Elechi .Contrac r Company Namel Contractor ense No.
!!
Mailing /Address Cmr1ractor or owner Making Insellal/lf I
?
L
`f-!Y
ys /?!?/??$'Y.?
? l
AU1horIZ d ig IGOmractor,'Owner Making Instal ro Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Raam S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone 16121602-0600 ENCLOSED.
Address: 2pg2 RDYALE COURT Lot 22 Blk 2 Sec/Sub FA(-,AN RnvATF.
These items were/were not complete at the time of the final inspection.
Date: 4/29/92 Yes No IngpPrtor,
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing
Q?
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. tG?
ucinEO nuE?
White - City copy Yellow - Resident copy Pink.- Contractor copy
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 No 2 0 0 5 1
BUILDING PERMIT PHONE: 681-4675 ReceiptP G I-Al I T
V
To be used for SF DWG/GAR Est.Value $165,000 Date JAN 24 , 193
Site Address 2092 ROYALS CT
Lot 22 Block 2 Sec/Sub. EAGAN ROYALE
Parcel No.
Name PIETSCH BUILDERS INC
Lu Address 9543 BIRCH LN
o City LAKEVILLE MN ZIP
cc Name SAME
0 Address
City ZIP
Phone
8 License # 0002358
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and ityqa/n/Ordinanc s
Signature, of PermiteeL^'r?
A Building Permit is issued to: $ZETSCH BttTi i1FRC TNC
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official ,' 1?1/LryYI/A. II N
OFFICE USE ONLY
FEES
Occupancy R-3 MM-1
Zoning
2-1
Bldg. Permit
867.00
(Actual) Const VN Surcharge 82.50
(Allowable) V-N Plan Review, 564.00
M of stories
Length 90, License
D
1-0
Depth 34? SAC, City 100-00
S.F. Total SAC, MCWCC 700.00
S.F. Footprints
675
00
On Site Sewage Water Conn .
On Site Well Water Meter 95.00
MWCC System X
Acct. Deposit 30.00
City Water X
PRV Required S/W Permit 30.00
Booster Pump S/W Surcharge .50
Treatment PI 300.00
APPROVALS Road Unit 380.00
Planner Park Ded.
Council
Bldg. ON. Copies
Variance TOTAL
0
3,829.0
--7(u5"7
4-10 C)
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
?.
Telephone # 651-675-5675 FAX # 651-675-5694 (i?1a I rt,
New Construction Requirements Remodel/Repair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq. fl of house; and L roofed areas 2 copies of plan Cad of Survey Recd -Y _ N
(20% maximum lot coverage allowed) t set of Energy Calculations for heated additions Tree Pres Plan Reod _Y _N,
2 copies of plan showing beam & window sizes; poured found design, etc. I site survey for additions & decks Tree Pres Required -Y -4
1 set of Energy Calculations Adddlon • indkele Hon-site septic system On-slts Septic System -Y -N
3 copies of Tree Preservation Plan H lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Date ID / 60 / j Construction Cost ? 562l =
1
Site Address ??d 'R `f fQ 1Q- On l E? Unit/Ste #
Description of Work
Multi-Family Bldg V?Y _ N Fireplace(s) ?0 _ 1 _ 2
I
Property Owner ? Q ? 1 Lauf-e, ??pp
%C (ef Telephone # ((051 ) 45-Q-805/(-0
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Category 1
Residential Ventilation Category 1 Worksheet
(J submission type) Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
_ Minnesota Rules 7672
New Energy Code Worksheet
Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Y - N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires-a-reviesv_and
approval of plans. ! 'l I l
l AUK Gt3yr2? 9fue? ?r (?r; ::
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
,
? 05 03-plex ? 11 10-plex or 19 Lower Level ? 24 Storm Damage
_ /
? 06 04-plex ? 12 12 Alex Plbg_Yor?N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
Cr33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation ?p v U Occupancy R 'T MCES System
Plan Review _ 100% or _ 25%
Census Code 3 Zoning City Water
SAC Units Stories Booster Pump
# of Units a Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
Footings (new bldg)
- Footings (deck)
Footings (addition)
Foundation
_ Drain Tile
Roof _ lee & Water _ Final
Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIRED INSPECTIONS
_ Final/C.O.
S( Final/No C.O.
_ Plumbing
I-IVAC
Other
Pool _ Ftgs _ Air/Gas Tests _ Final
Siding _ Stucco _ Stone _ Brick
Windows
Retaining Wall
Approved By: -? C ( c - if - S , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
` 3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
1L ?7 o,CjC)
New Construction Requirements
RemodellReoair Reauirements ...................
OfkelUge Nld
3 registered site surveys showing sq. ft. of lot, sq. N. of house; and all roofed areas 2 copies of plan Ced of Survey Recd N.
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree pres Plan Recd t Y _ N.
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Regd
wre Y N
..
'
l set of Energy Calculations Addition - indicate d on-site septic system Qnsite Septic System_.. N.
_Y
3 copies of Tree Preservation Plan if lot platted after 71153
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Date 3 / / 8 Construction Cost I f 9 75
p
Site Address aOga p\®y??P C? Unit/Ste #
Description of Work T?? ?' f
Ord e+oT ??sC is???
Multi-Family Bldg - Y N Fireplace(s) n 0 _ 1 _ 2
Property Owner 1" e-(- Telephone # (6Sl) 4s4
Contractor L Wt_- G (
Address (03 a? CRv??1u? ?? City { t S
State All . Zip 6- 6-4 Telephone#(9S? Qa?S -C. lS fo
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 2517o plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor p q
Telephone #(
Telephone #(
Telephone #(
8 Z l
I hereby apply for a Residential Build ng Permit and ?o dge that the information is complete and accurate;
that the work will be in conformance a ordinances codes of the City of Eagan and the State of NIN
Statutes; I understand this is not a permit, but o applic tion for a permit, and work is not to start without a
permit; that the work will be in accordance with the appro plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name CApplica Vs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Dernolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
- Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ Final/No C.O.
- Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Figs _ Air/Gas Tests _ Final
- Framing _ Siding _ Stucco - Stone - Brick
- Fireplace _ R.I. - Air Test -Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
evY,_'-) ()
Date ! I
Site Street Address 15ze9ei? Unit #
Propert y Owner Telephone #
Contractor /iJy & 77' Telephone # (qs F S?-?30[
AddresSA94"X 74, 44_Z City _ State Zip_¢ Z
The Applicant Is: _ Owner Contractor -Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heate r--complete next
section if installing these appliances).
Septic System Abandonment
-Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
X Water Softener _ Water Heater $ 15.00
7
new replacement
Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00
State Surcharge $ .50
Total $ ?iLc Z(L
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
,-,? i l iD /I 1
Applicant's Prihted Namd Applicant's Sgfrature
1992 BUILDING: PERMIT. APPLICATION
`CITY;OF EAGAN,-
REQUIREMENTS -
SINGLE FAMILY ,: 2 SETS OF PLANS,' 3; REGISTERED, SITE SURVEYS, .1 SET,ENERGY CALC k a
MULTIPLE DWELLINGS 2'SETS OF'PLANS, 3REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS , r
# ?.OF UNITS` RENTAL' FOR SALE "
. y`
COMMERCIAL 2" SETS OF ARCHITECTURAL & STRUCTURAL. PLANS, 1 SET OF ,
" SPECIFICATIONS;` 1 SET OF ENERGY CALCS.
PENALTY APPLIES WHEN TYRING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY,LAST WORKING,;
-,DAY.OF=MONTH?IN WHICH?REQUEST?IS?MADE-`Q$ LOT CHANGE'IS REQUESTED<ONCE.PERMIT IS M
t
ISSUED e .:
NOTE ADDRESSES FORsCORNER=.LOTS CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
D
'ADDRESS-ISDESIRED NO CHANGES WILL"BE ALLOWED;. NCE BUILDING,PERMIT'IS ISSUE ,
.,
To Be Used For r? Valuation: Date: ?v a a ?ai9 "
Site Address;"a'0 '
Azinh
16S OOV? FFI U NL ;?.
Lot `D- - Block a r FEES
K6 Occupancy R-3 M-I Bldg Permit X367 o0
Parcel/Sub ?Q K6 . Zoning R- I Surcharge 2 so
Actual Const v-iq ..Plan'Review, s6 =oa : t
Owner Allowable v, .License Fee,,
#?of`stones SAC, City' . /oo 00
Address " . ' `Length .. qo' ,;• SAC, "MWCC 76o -,Do
%
Depth 3y .. Water Conn: e 7s, vu
City/Zip :&F. Total Water Meter. 9s oo U
:Footprint S F ACCt... Deposit 30, o0 41
Phone S/W Permit • 30 bb
On-site. sewage S/W Surcharge moo
"Contractor SL's &I e!/S L `On.site well Treatment PI: Soo, 00 n
MWCC System : .: Road Unit " 3 0 00 y
Address bz?ktaitel City water . Park Ded.
'PRV Trail Ded. X`'k
City/Zp l? Uc l iYl N S5 Booster, Pump' Copies,
SUBTOTAL, a wa
Phone -?-/?p/-3 3 / ucens ?3q °7 APPROVALS Penalty h r a=
Planner Lot`Change x M,},
`CounciTOTAL
Arch /Engr.; Bldg.Off -2 7/ 7
.variance
Address
City/Zip Code'
,.
Phone'*
Sewer/WaterUcensedContr • r°i () Qf 1 /E S Processingtime.
for sewer/water .permds;istwo ays:once.area•-as en approve .
agrees that all work, shall. be done<in accordance-
( Signature PermttD a t'.
all applicable State of. Minnesota Statutes and, City of Eagan Ordinances.
VA Lu A-n oNl
L) 4o
X12=y?
32? 1l07 K 5? I8?
X03 X 50L1J
I>SMT,
4k t6 = Iz?
aaX ae= 9148
12X 3?j _ 408
12n 3i -3814
1 b68 x /y= Z3; 3sz
S7 FLoo2
L3Srr?T = 16615
16? b xs3=- g9,?s?
ZND FLook
32? a4
`l92 x53-
I6y2?1
on,
CERTIFICATE OF ,SURVEY
LEGAL DESCRIPTION: LOT 2,? BLOCK 2, 5XS,- t/` P?Y<IGE,
/W&a7A COUN7Y /Jl/NiUESQY,9.
CLIENT PErscy ?y/GOP9
ENGINEERING`=€q, PROJECT NO. wf39Q7Q/
COMPANY, INC. BK./7/ PG. i¢
L- 1000 EAST 1461A STREET, BURNSVILLE, MINNESOTA 55337 Ptl 432-3000
CONSULTING ENOINEERS
B PLRNNERS and LAND funvEVons
SCALE : 7' n 3U'
DENOTES EXISTING ELEVATION
(/a3/, o) DENOTES PROPOSED ELEVATION
INDICATES DIRECTION OF SURFACE DRAINAGE
1030.67 FINISHED GARAGE FLOOR ELEVATION
02 Z = BASEMENT FLOOR ELEVATION
/032.33 = TOP OF FOUNDATION ELEVAI'IOIJ
0 3?' ob
;y
O/Y91NA49E AND
417-IL1 rY 54SeM41V7-
f(o?b (cam I? f? 254. DO
(hum/ U 'AMcosEO ZoFr. SroE
,? 89°53'39 E 57-9E&7- 5ETMCe
REQa UdRED BAR/ ?
30 F7. FeoAr aZ11W1.Q
9ETB4GL' L/NE
q / GLK?/fIC-/C.
01-22-1992 09:12AM FROM
' * DESIGN CLASSICS * TO 4613387 P
01
EX
.TEH1OR ENVELOPE AVERAGE
"U" COMPUTATION .
OWNER : ?? t
N GSM J? 1 %Ti?
SI.CE ADDRESS: L 0T 2 Z B?oc-K -- - `--"?
CONTRACTOR: )LA DATE
I1
: 4
PH ONE:
DETERMINE WORKING 5 DARE FOOTAGE OF EACH.
1. :COTAI:, EXPOSED WA7,7. AREA SQ. FT. X , ff a ?v?
2- COTAI: ROOF CEII:,ING
AREA 17?1Zrb
SQ. FT. X ID r
3- TOTAL EXPOSED wAREA CAI,cUI:,ATIONS:
Total exposed wall
area above floor
3,2-t:6
a)
b) Total
Total wall window area
door area
SQ.F:C. 37 = m cy
X rat = 2r
c) Total sli.di.ng glass door area
?i
SO-FT.
X
d) Total fireplace wall a,-(3a b SQ,FT- X "U"
C) Total wall framing area 3f2.?_ Sp-FT. X "U" r? l - 4p'
(average 10%) r
f) Total net wall area above
floor (insulated)
SQ.FT. X „U,, ,mf3_ f20.1
TotaI frnm(iAt inn area
(exposed)
-7 rr'r . n
I ov .f .1 n
ISz,n ry9-PT.h) Total foundation window area QcQ.FT. X pp
i.) Total net foundation area ?ZD SQ.F X l 25,D
above grade =
TOTAL a) through i.) _ H
? O
If item #3 is the same as, or less than item #1, you have met r
Lhe intent of 2 MCAR 1.16 nd O.
PA(-,F,. 1
4. 'P()TAL EXPOSED ROQF/CEILING CALCULATIONS,
Total exposed roof/ 1-MO SQ.FT.
ceiling area
j) Total skylight area
k) '.total roof/ceiling
framing area
(average 10%)
1) Total net insulated
roof/ceiling area
4.
13 so. FT. X "U"
?Z' SQ.FT. X "U"-, t? _ 4,
SQ.FT. X "U" rOyll- = ?gr3
TOTAL j) through 1) If total of #4 is the same as, or less than #2, you have met
the intent of 2 MCAR 1 A and O.
45,0 29?C
ALTERNATE BUILDING ENVELOPE DESIGN
To uti.liz2 the total envelope system method, the values
established by the sum of #3 and 04 shall not be greater
than thn sum of items #1 and #2.
1.
+2.
3.
+4.
CERTIFICATION
I hereby certify that I have calculated the "U" factors and
"R" values herein and that the building here described meets
or exceeds the State of Minnesota Energy Conservation Act.
Date
PAGE 2
01-22-1992 09:12AN FROM * DESIGN CLASSICS * TO
MISTRUCTION
AMINO SECTIONS
A
WALL. SECTION (INSULATED)
4613397 P.02
R VALUE
s
RIM JOIST SECTION:
L101
SLAW ON GRADE
- a'
•as'tr• •e .,..
14
.,
'A A
o•
a 1.
•• Al
TION SECTION:
1 Interior air film n.RR
2 gjon & 3 zInsul4t .on 1 0
3 plocx L..LL
4 Exter or a r m
5
b
TOTAL R . 12.96
U 1/R r . D8
•
Heated Slabs:
1linimm R ¦ 8.5
i17 Unheated Slabs:
FOUNDATION INSULATION REQUIRED-
Min. R-5 on entire wall OR
Min. R-10 down to frost depth
4 .,. ..
• 'r .4
At 14
, x•,..•
. Q .'.
4-1
rain 3
11.:0 1/R •
U - 1/R 043
Gl-cG-1 JJC GJ• 1.?F9'I
r-MUN m llt511aN t,LHSS I CS *
TO 4613387 P.04
R 1 , u{
C111.11iq SECTION (tit;m Alth)t
1 interior air film A A
2 F Si`
3
Ex 1TT
u a I/R + ru
F
CEILING FRAMING SECTIONt
1 Interior air fil
z
5
G
J
2 3 ?# 5
CEILING SECTION (INSULATER)t
P Interior air film 4,61
2
1 Fxter or a r m St n,
At r
U- 1/R-
CEILINr, fRAMING SECTION;
1- Interior air,film A,A1
2 F
3
Exterior a r m st
S - ncheS so t wood
TOTAL R -
' U r 1/R r
1 '"side air,filiw A,AI
1
S uts dear A
TOTAL R -
u . tilt -
P'Ip?• ti
VENTED -
0 - I!R - J O76
CITY OF EAGAN FOR CITY USE ONLY
r - _ 3830 PILOT KNOB ROAD
EAGAN MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # 10,50 & 'V
O"Mwi" DATE: 411019.2-,
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _x
ADD ON
REPAIR
OWNER NAME:
PIETSCH BUILDERS
SITE ADDRESS. 2092 ROYAL COURT
LOT: BLOCK SUBD. (_ U t.-v ola INSTALLER: FREDRICKSON HEATING & AIR CONDITIONING
ADDRESS: 3650 KENNEBEC DRIVE
CITY: EAGAN ZIP: 55122
PHONE #: 452-2775
FEES
ADD-ON MINIMUM
HVAC 0-(00 M
ADDITIONAL (p, M TU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
TOTAL:
$15.00
24.00
6.00
3.00
$, 11c.00
.50
SIGNATURE 0 PERMITTEE
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, L^: 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT
PL1J?IBING PEItMf1 DATE:
iZESI6ENTIAL. PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLI NGS S
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------
------
----__
------------------------
WORK DESCRIPTION ----- ---------------------- --- ---
COMPLETE THE FOLLOWING:
NO FIXTURES EA. TOTAL
v
NEW CONST X .
3 ADD-ON MINIMUM 15.00
O J
ADD ON SHOWER 3.00 ?.
REPAIR WATER CLOSET 3.00 17- 0 °
k BATH 'TUB 3.00 .0 0
_
`? 2 C
k
+
S LAVATORY
HEN SINK 3.00
00
3 15.0 0
3• oo
Gp_
s C'k ! k
OWNER NAME: T ? E- V KITC .
r
- LAUNDRY TRAY 3.00
pO
O to
SITE ADDRESS: ')?dC1 7)L 1
7
HOT TUB/SPA
3.00
D
1 WATER HEATER 3.00
LOT: BLACK SUBD ? FLOOR DRAIN 3.00 3 b
. .
GAS PIPING OUT.
INSTALLER: IN D-• c l S (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
ADDRESS: IS1 Ka_ cc"--d "j OTHER
i'WATER SOFTENER 5.00
CITY: t??c ZIP: PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
#: 'cZ3-3730
SIGNATME OF PERMI:TTEE
514. S'D
50
TOTAL: 5
COMMERCIAL'/INDUSTRIAPLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS' ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUED.
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
CITY OF EAGAN
S
(SIGNATURE)
SUBTOTAL
ST. SURCHARGE
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE
ZIP:
TOTAL:
SUBJECT: VARIANCE v' Z -/-f v
fr %a1
APPLICANT. DOUG PIETSCH, PIEfSCH BUILDERS INC.
LOCATION: LOT 22, BLOCK 2, EAGAN ROYALE
(P.I.D. #10-22475-220-02)
EXISTING ZONING: R-1 (SINGLE FAMILY)
DATE OF PUBLIC HEARING: JANUARY 21, 1992
DATE OF REPORT: JANUARY 102 1992
PREPARED BY: PLANNING AND ENGINEERING DEPARTMENTS
APPLICATION SUMMARY: An application has been submitted by Pietsch Builders Inc.
requesting a 10' Variance to the required 30' setback from public right-of-way.
COMMENTS: The applicant is proposing to construct a home on Lot 22, Block 2, Eagan
Royale which is on the comer of Royale Court and Geneva Lane. Pietsch Builders is
proposing a 20' setback from Geneva Lane. The purpose for this is a 36" red oak tree. If
a 20' setback is approved, it will allow the home to be constructed closer to Royale Court
and the large oak tree will not be lost. The proposed house meets all other setback
requirements.
The engineering department has reviewed this application and the proposed house does not
encroach into any drainage and utility easements.
If approved, this Variance shall be subject to all City Code requirements.
STREET MAP
ZONING MAP
?•?? .'YINY
,E* 1 /4 SEC. 31, To 279 R. 2 3 « vim-
OK
lit,
- I • 4'NYrrNOYC
Qw i f 1 •
12 1 OY•
16
its U;[?r f ?? ? ? ?• Mfr: ? ? ' p
51
20
all, A
'al
•? ? Z A6
+
1 ,LNG t
\ Y I _ •• rt Or
45
I
.......... .
r?i N
/ .IS ve «. J " y I ? I
m
,SJQy ? d ? d ?
s LDT 2Z L1 . L"l; t . I I V
N
LJ L ... ,r /?, l - I M
... IN.m... .- '•1
i?
/ - 251.00 "••?:.
Lro4:d? Jttr c?
nlamn crn,v1 IIm, nnS lz n mm; nnu cmnmcl nenlESnnnIWU UI n mnCl a Lulu
1 -I As Slwm,n,UMSCUTWOMnron. nSneru,rUM W urs3=munr ml?rn ?,
.11, nra,W. /?OLI$
nf•n1o.1
30' SETBACK
EOIISULIInO 4101111Efns Cl1Elp P/E7J`C// L?/LLOEP9 1I
AOBe nnnufns °Ne Jn11U SunvEfons k
ENGINEEOING m-ac! NO. O7. el
COMPANY, INC. UK /7/ 1.0. L4
So .32-3.0.
1000 CAST NSA MEET. 5unN1NILLE, nII10c S0,n 55311
CERTIFICATE OF SURVEY
LEGAL DESCRIPTION: for e rcocs_2, EASA,v .c'o»LE
=R-Y6PJ_/I COU?ly??/>/N.?ESOTA.
(- __) UCIIOII:.^• CKIS'l llJt: Iil13VAlIVIJ
(/n?/,o) Uf_NVIL"S PI IOPUSUII L or GIVIJ
VINIC4IGS UIIIEC rt- Of 6UI11°ACl' UIUIHA(:L
3 lull 'IOH
L3a.6 ISIIGU La nUAUE PLOVII
FW
[(!?[ L) ='IUII UI' EVUIJUlL11U11 CLUVAl lull
SlnLEaV IY'
,?\? br 3o r): rCCN] Fc rzoL ?`iy.:. I01
1 ?5 S .NS.,
nonE fOBVl111+B Ellnlll EEBS
e??e Emm SUBYESOBS
rrmu uns
?NGINccnI
COMP(INV C.
IOOB E/SL 1<iN llnEE1, EIINISVIU. E.. <UMESOIA 1531L rll
1 I 1 rE1? ? / (•
V A` JhOH j
I? tiR /
CERTIFICATE OF SURVEY
LEGAL DESCRIPTION: tar z_ ?cc:_2 6A6AN h'af90u-
_ fM9Z4 couyy Mav i e So?A.
( ) IIENOI US E%IS IIFIG ELEVAI IVN
(/A3/• o) 0E401rr, 11110110SCU ELEVAIIUN
I1401CAMS UINECIION or SWIFACE UNAINAGE
rINISI 1rU GM AGE FL0011 r1.CVAI ION
AML. ZL - UASr MIEIIf rLU011 rLEVA11011
Z_33 -' 1011 01' rOU14UA11011 CLrVAllVf4
6CALE 11'?lV
an// /-5rN7 PIWP41'.
rc4/nu« /Nr
u71urY E2SU'1
/?mb;Q•
(/M¢F)
1?fQ
+ Ilrrlfl
ttnru PiETSCN ?'//COE.P9 _-- it -
nwncr no. 3W7 0/
r
e_ oA./71 1%/44 ?.
?0 3 t\
Q,, 1
cyl? //
A
heJ<Y I i
?LU7 ZZ ^?
0
?
1c.l.rn s.c::
S? fJ9'S7.39"E S/FF<r ?)<StCKs ,. _._oe
1 ururnr crlulrr ,,m tees IG n nmr mw connrcl nerMnEMAlrou or A mncr or EAoo
AA Soowll NN MStllmro IIEIT.W. AS n1ErMEB BY 11E 111581 VAT W L/1WWRY
/?-y5 ?...•r? Wool. nEB.la, /4oFs
20' SETBACK
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 2092 Royale Ct
Lot: 22 Block: 2 Addition: Eagan Royale
PID:10- 22475- 220 -02
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Sedgwick Heating & Air
8910 Wentworth Ave S
Minneapolis MN 55420
(952) 881 -7739
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.00 0801.4088
Owner:
Richard B Shover
2092 Royale Ct
Eagan MN 55122
$50.50
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$0.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA083600
06/17/2008
ePermit
41'"
CttyofEaaan
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
a s Coloix
Use BLUE or BLACK Ink
For Office Use
Permit #: 1 G / Li J
Permit Fee:vt/ tU 1
Date Received:?
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
J
Site Address: Unit #:
NEI
Name:
Address / City / Zip: P. 12 16 to C 1
Applicant is: Owner "- Contractor
Phone:
OF WO.
Description of work:
Construction Cost: 606
Multi -Family Building: (Yes / No )
Company: ip erbt..d4,% � %
6 0. r
Address: C'71 J` 1 rc 1"^ Ck
Contact: St '
State:Irs'lAS Zip: �.0 i) `t
Phone:
City: 2—cketit°I�'
License #: 24/ 1 COS—Z- Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE:
u
cta
documents tha
srft�d pis ion-bL
conclude > .o trade sec
c
srabtic tnt'o
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnes • F = = ilding Code must be completed within 180
days of permiissuance.
1iL�t' bvt-t
Applip(nt's Printed Name
x
Appli = • nature
Page 1 of 3
SUB TYPES
Foundation
Single Family
Multi
01 of_ Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% L/ )
Census Code
#of Units
# of Buildings
Type of Construction
DO2QTEB
Fireplace
Garage
t Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
V y
Porch (3 -Season)
Porch (4 -Season)
LINE
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
y Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water _Final
Framing
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL F S
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
103
67 Z -
_ Storm Damage
_ Exterior Alteration (Single Family)
_ Exterior Alteration (Multi)
Miscellaneous
Siding _ Demolish Building*
Reroof _ Demolish Interior
Windows Demolish Foundation
Egress Window Water Damage
*Demolition of entire building give PCA handout to applicant
'�-
MCES System
.2a97 SAC Units
/7
/-)
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
d 7)/ick Q /5
34ic2a
Page 2 of 3
Rowe
CONSULTING ENGINEERS
PLANNERS and LAND SURVEYORS
ENGINEERING
COMPANY, INC.
1000 EAST 14611‘ STREET, BURNSVILLE, MINNESOTA
CLIENT PeiS'C// 2532/./40,9g
55337 PII 432-3000
PROJECT NO. '45947 O/
BK./71 _PG. /�
CERTIFICATE OF ,SURVEY
LEGAL DESCRIPTION: LST 2�.Br c,� 2, .46'4.V •Poy.9�
. 9KDT.9 C,'(M/7) 1%l/r!/4/g.07.3{.
BY:
SCALE : 1 4 3U'
DATE: /0 - 7 _//
UO3/, 3/, o )
/O.3O.67
/az# z9
/032.• 33
DENOTES EXISTING ELEVATION
DENOTES PROPOSED ELEVATION
INDICATES DIRECTION OF SURFACE DRAINAGE
tm FINISHED GARAGE FLOOR ELEVATION
BASEMENT FLOOR ELEVATION •
TOP OF FOUNDATION ELEVATION
30 i'T. FKONT BU/1DJ,V
SET•BACk' L//VE
BUILDING TIONS DIVISION
PR9/NA4e A,V9
1,/7/L/ TY 54''7
•
h "
4/•N/11)
-. ter-
y�d
&-o 1,
N,
-94
„
1
•
EL,,‘
36 "Rai
r0 _7,
4/NTNG
pZQcc /P
el 55/MY
EIV"
--- /l4ov ---
11470051014 --
O T za
/ n
LJ
--‘-/k, I -t
254: DC7
f TCC S?Er , PUMP .� 8.,° r-.,. 89116-
PRD/VSEO ,2o' 5/06
STREET SETg4G�'
UAR/RNGE
Qi MARKS
.3
1
1
v
•
30.00
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A TRACT OF LAND
AS SHOWN AND DESCRIBED HEREON. AS PREPARED BY ME THISSTM DAY OF JlRNv4RY
19 92
MINN. REG. NO. /64085
u7 .' 1/40 4A,4,v7 b 1- ci z, S CGx'1/tk iL 4c.7X 1V/